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NURSING NUR200 Quizs Week 3 and Week 9

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NURSING NUR200 Quizs Week 3 and Week 9 Which of the following statements are true? Selected Answer: d. A & B Answers: a. First-generation (typical) antipsychotics are associated with a higher incidence of EPS. b. Second-generation (atypical) antipsychotics are associated with a higher risk of metabolic side effects. c. There is evidence that atypical antipsychotics are significantly more effective than typical antipsychotics in the treatment of cognitive symptoms associated with schizophrenia. d. A & B e. A, B, and C  Question 2 3.75 out of 3.75 points Cindy is a 55-year-old patient who presents with symptoms consistent with Generalized anxiety disorder. The patient has an unremarkable social history other than she consumes two or three glasses of wine per night. Which of the following would be an appropriate therapy to start this patient on? Selected Answer: b. Escitalopram 10mg daily Answers: a. Xanax 0.25mg BID PRN Anxiety b. Escitalopram 10mg daily c. Buspirone 10mg BID d. Aripiprazole 10mg daily  Question 3 3.75 out of 3.75 points Richard is a 54-year-old male who suffers from schizophrenia. After exhausting various medication options, you have decided to start him on Clozapine. Which of the statements below is true regarding Clozapine? Selected Answer: d. A & B Answers: a. Regular blood monitoring must be performed to monitor for neutropenia. b. Clozapine can only be filled by a pharmacy that participates in the REMS program. c. Bradycardia is a common side effect of Clozapine. d. A & B e. All of the above  Question 4 0 out of 3.75 points Jordyn is a 27-year-old patient who presents to the clinic with GAD. She is 30 weeks pregnant and has been well controlled on a regimen of sertraline 50mg daily. Jordyn says that "about once or twice a week my husband really gets on my nerves and I can't take it." She is opposed to having the sertraline dose increased due to the risk of further weight gain. You have decided to prescribe the patient a short-term course of benzodiazepines for breakthrough anxiety. Which of the following is the LEAST appropriate benzodiazepines to prescribe to this patient? Selected Answer: b. alprazola m Answers: a. diazepam b. alprazola m c. clonazepa m d. lorazepa m  Question 5 0 out of 3.75 points Jason is a 6-year-old child whose mother presents to the clinic with him. The mother says that “he's not himself lately." After a thorough workup, you diagnose the patient as having GAD. Which of the following medications would be the LEAST appropriate to prescribe to this child? Selected Answer: b. Paroxetin e Answers: a. Sertraline b. Paroxetin e c. Venlafaxi ne d. Buspirone  Question 6 3.75 out of 3.75 points John is a 41-year old-patient who presents to the clinic with diarrhea, fatigue, and recently has been having tremors. He was diagnosed 19 years ago with bipolar disorder and is currently managed on Lithium 300mg BID. As the PMHNP, you decide to order a lithium level that comes back at 2.3mmol/l. What is the most appropriate course of action? Selected Answer: c. Tell John he needs to go to the hospital and call an ambulance to bring him. Answers: a. Investigate other differential diagnoses for his symptoms. b. Tell John to skip his next four Lithium doses and resume therapy. c. Tell John he needs to go to the hospital and call an ambulance to bring him. d. Prescribe loperamide to treat the diarrhea and ropinirole to treat the tremors

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